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@TrevorGoodchild @dissidentsoaps @sickburnbro @Shadowman311 @LostShakerOfSalt @transgrammaractivist the entire "payment problem" boils down to the ugly problem of how much it is reasonable to expect somebody to pay for "reasonable" (not necessarily even "heroic") medical care over the course of a lifetime and how you can force them to do it once they consume the service; medical care is one of those goods for which there is approximately infinite demand, especially in a culture that values life, youth, and health above all else

there are all kinds of notional permutations, but they all wind up looking like something we already know about and don't want: the HMO, the insurance company, gummint healthcare, and so forth

there seems to be a limited amount of novel ideas in this equation, and some new ideas are sorely needed